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���� � �� �[ T ��� <br />��_� * ��� � <br />City of Roseville <br />Finance Department, License Division <br />��60 Civic Center Drive, Roseville, MN 55113 <br />(651)792-7034 <br />Gasoline Station License Application <br />� ..; �, <br />; ,- <br />Business Name t <br />� i� � �`. � � I� ;� � �.'�� � �_�' � � i •� � �� �i--����� <br />� .._ . <br />I � �, � {� � � <br />�] LI�I Ilti.ti i:�i�i� fCti.� � r+ � Il�' ' � I�'t � � � I ,_ _4.�`_.�� <br />� <br />I <br />Business Phone . . � �� �` � � � �� <br />� <br />Ei�iailAddress �`}•'!�' ' _ <br />r i•4� r,�+ <br />Person to Contact in Regard to Business License: <br />� <br />Na�ne • - _ -,�_. . , , , , . r � <br />r� <br />Address _ <br />.. . . . - � �� <br />Phone � � � - w <br />I hereby apply for the following license(s) for tl�►a term of one year, beginning July 1, _��, and <br />ending .1ui�e 30, t� � , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required Fee <br />Gasoline Station $130.00 <br />The undersigned applicant inakes this application pursuant to all the laws of the State of Minnesota and <br />regulation as the Council of the City of Rosevillanay fi'om Li n� � to time prescribe, including Minnesota <br />Statue # 17b. l $2. �� . � � <br />Signature .� � f' �,,�����-�� <br />� =�� �� <br />I��LIL �� ��-" ���� � �� � <br />A fire insnection is reauired before issuance of a license. Please call 651792-7341 to set U� an <br />inspection. <br />If completed license should be �nailed somewhere other than the business address, please advise. <br />